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1980 年 16 巻 4 号 p.
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1980 年 16 巻 4 号 p.
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原稿種別: 付録等
1980 年 16 巻 4 号 p.
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1980 年 16 巻 4 号 p.
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原稿種別: 目次
1980 年 16 巻 4 号 p.
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嶋田 秀逸, 中路 進, 和田 行雄, 玉利 公正, 坂部 秀文, 佐藤 伸一, 越智 真一, 佐々木 義孝, 中村 昭光, 大賀 興一, ...
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1980 年 16 巻 4 号 p.
529-540
発行日: 1980/06/20
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Nine patients who had undergone surgery for partial anomalous pulmonary venous connection have been followed up for from 1 to 6 years. Chest X-rays, ECG, and right heart catheterization in all nine and RI angiogram, SVC angiogram, lung scintigram and PA angiogram in six patients with a anomalous pulmonary venous drainage to the SVC are included in follow up studies. An improvement in chest roentgenograms was observed in six and no change in three. In electrocardiograms, coronary sinus rhythm was seen in two and nodal rhythm in one. One patient with coronary sinus rhythm and another with nodal rhythm had bradycardia. Seven had normal PA pressures and two had slightly elevated PA pressures. None had marked narrowing nor obstruction of the SVC. In two patients who had one or more pulmonary vein draining directly into the SVC, the pulmonary venous return was abnormal, but these two patients were asymptomatic. It is concluded that the present surgical technique with the use of a Teflon patch is adequate for cases in which an anomalous vein drainage is located at the lower portion of the SVC. In patients with an anomalous vein drainage into the high portion of the SVC, Chartrand's method or Lewin's method, which does not reyuire use of prosthetic materials, may be preferable.
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大沼 直躬, 高橋 英世, 羽鳥 文麿, 真家 雅彦, 中島 克巳, 鈴木 昭一, 江東 孝夫, 田辺 政裕, 岩川 真由美, 大川 治夫, ...
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1980 年 16 巻 4 号 p.
541-547
発行日: 1980/06/20
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Seventy cases of Wilms' tumor, operated at the Pediatric Surgical and Second Surgical Departments of Chiba University, received postoperative radiotherapy to the tumor bed at the National Institute of Radiological Sciences during a period from 1970 to 1979. Five cases developed pulmonary metastasis later, which was controlled by radio-chemotherapy. These patients are presented and discussed for methods of treatment and postirradiation pulmonary functions. Whole lung irradiation for diffuse and small field irradiation for solitary metastasis are our protocol of radiotherapy. The former is with a dose limited under 1,500 rad, and the dose for the latter is deceided by a dose-response curve due to the change of tumor size. When the dose-response curve showed and exponentially pattern, small field irradiation was continued. Quantitative study measuring regional ventilation of the postirradiated lung using 133Xe was carried out in three cases. There was no difference between irradiated field and non-irradited portion in washout curve, but there was a little difference in each in mean transit time. In other words, the mean transit time was longer in irradiated field than non-irradiated portion.
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堀江 弘, 筏井 洋, 岩崎 勇, 井出 源四郎, 高橋 英世
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1980 年 16 巻 4 号 p.
549-560
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The genetic analysis and light microscopic findings on the Congenital Aganglionosis Rat had before reported precisely by Ikadai, H.. This rat shows spontaneously similar symptoms in the bowel to Hirschsprung's disease of human beings. In order to study pathophysiology of this rat, 15 Congenital Aganglionosis Rats were examined on innervation of the bowel by histochemical and electromicroscopic methods besides light microscopy. 5 control siblings were examined by the same methods as control. On histochemical examination, acetylcholinesterase staining method (AChE) and noradrenaline fluorescence used glyoxylic acid were performed to examine the activity on the nerve elements of the bowel. These rats showed long aganglionic bowel (extensive aganglionosis), presenting with many nerve bundles in the submucosa and intermuscular space and a decrease in the propria muscle in the distal aganglionic segment. Also less nerve bundles were observed in all layers in the proxymal aganglionic segment. Nerve fibers in the dilated bowel were similar to those of control rats. AChE activity was observed remarkably in the submucosa and intermuscular space of the distal aganglionic segment. Gradual diminish in AChE activity was observed in the proxymal aganglionic segment. In the muscle layer, AChE activity was observed to decrease or disappear in all aganglionic segment. Noradrenaline fluorescence was less remarkable in the area of the aganglionic bowel than the bowel of control rat. Electromicroscopically, small-sized ganglion celles seen in the transitional zone had no degenerative change. Nerve bundles surrounded by the peririeurium have less collagen fibers than those of human Hirschsprung's disease. These are thought to be extrinsic. Synaptic vesicles had both cholinergic and adrenergic characters. Nerve ending was not found in the propria muscle of the aganglionic segment in our study. Leiomyocyte of this area indicated the pattern of contracted phase. These findings showed that this rat can be used for a proper medel of Hirschsprung's Disease to make clear its pathophysiology. It was suspected that contraction of aganglionic bowel was dependent on denervation of the muscle layer.
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橋都 浩平, 中條 俊夫, 内藤 春子, 内藤 達男, 麻生 誠二郎, 阿曽 弘一, 大宮 東生, 川守田 究
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1980 年 16 巻 4 号 p.
561-568
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Ten cases of hemorrhagic disease accompanied with biliary atresia were reviewed. All infants were fed with breast milk. Hemorrhagic disease appeared from six days to sixty-four days after birth. The effect of vitamin K for the treatment of hemorrhagic disease was excellent. In one case, coagulation factors were measured. Vitamin K dependent factors such as factors IX and X were extremely low, to be less than one percent of the normal level. The etiology of bleeding in these infants is considered as vitamin K deficiency. Bleeding site was the navel in three, the intracranial cavity in five, the nose in two. the subcutaneous tissue in one and the alimentary tract in two patients. Three infants bled at two sites. Intracranial hemorrhage appeared later than other sites, but the reason for this is not clear. Nine infants underwent hepatic proto-enterostomy for the treatment of biliary atresia and only two are alive without jaundice. These two infants have the sequelae of intracranial bleeding. The cause of hemorrhagic disease in infants with biliary atresia is explained as that, because human milk contains only small amount of vitamin K,the breast-fed babies are in a states of predeficiency of vitamin K. Because vitamin K is the fat-soluble vitamin, its absorption is seriously impaired by absence of bile in the G.I. tract, and manifestation of vitamin K deficiency appeares. The change of intestinal flora because of absense of bile and liver damage due to biliary atresia may play some part of this problem.
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大口 善郎, 岡田 正, 池田 義和, 鎌田 振吉, 中尾 量保, 川島 康生, 斉藤 良太郎
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1980 年 16 巻 4 号 p.
569-577
発行日: 1980/06/20
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The pancreatico-biliary ductal system was examined morphologically in seven cases of idiopathic choledochal dilatation. The age of our patients ranged from 2 months to 9 years. Endoscopic retrograde cholangiopancreatography (ERCP) was carried out in five, percutaneous transhepatic cholangiography (PTC) in one and operative cholangiography in all seven cases. Choledochal dilatation was classified into two types: cystic (4 cases) and cylindrical type (3 cases). In all cases, an abnormally long common channel with an anomalous junction of the pancreatico-biliary ductal system was demonstrated. Correlation between the clinical symptoms such as abdominal pain or jaundice and the anomaly of the pancreatico-biliary ductal system is discussed.
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及川 佑一郎, 安井 豊, 浜田 洋一郎, 遠藤 薫, 伊藤 伊一郎, 菰田 研二, 井筒 岳, 木村 久雄, 阿部 邦彦, 新津 勝宏
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1980 年 16 巻 4 号 p.
579-587
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During the past 12 years from 1967 to 1978, 166 infants with congenital heart disease under 12 months have undergone radical operation. There were 19 hospital deaths with a mortality rate of 16 per cent. Over one half of patients died in the first 3 months of life with a mortality rate 66%. The mortality rate for those from 4 to 6 months of age was 22.7% and for those from 7 to 12 months of age 9.3 per cent. Four of 6 patients under 3 months have undergone emergency radical operation for various diseases. Six (9.3 per cent) of 64 patients operated on after January 1,1975 died in the hospital, while 13 of 52 patients died in the hospital after operation during a period from 1967 to 1974. Most of the operations were performed under simple deep hypothermia, which is suitable for infants and children. To date, we think that simple deep hypothermia indicated for these patients is satisfactory for the procedure with the circulatory occlution time less than 70 minutes.
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三瓶 光夫
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1980 年 16 巻 4 号 p.
589-600
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The data concerning pre- and postoperative hemodynamics in 10 cases subjected to pediatric surgery were analysed with an aid of the Swan-Ganz catheter. The results obtained were as follows; 1) The catheter was easily inserted in all cases except infants. 2) There was no complication related to the procedures of insertion or indwelling of the catheter. 3) Seven out of 10 patients had been satisfactorily treated for compromised hemodynamics before operation, and then underwent an elective operation. Their hemodynamic data showed higher CI, PR and LW, lower PAP, PWP, TPR, PAR and RW compared with those of adults This was more prominent in the group of younger children. 4) The hemodynamics in children were classified into 4 types. Type A; CI≧5 L/min/M^2, PWP≦7mmHg Type B; CI≧5 L/min/M^2, PWP>7mmHg Type C; CI<5 L/min/M^2, PWP≦7mmHg Type D; CI<5 L/min/M^2, PWP>7mmHg 5) The hemodynamic pattern of the patients mentioned in 3) showed Type A. The types of hemodynamics were various in the early postoperative period, and become Type A ultimately. These results suggested that Type A was standard (hemodynamics) in childhood. This type of hemodynamics is similar to that of the hyperdynamic state in adults. 6) Hemodynamics of Type B was found in the condition of cardiac hypofunction with overhydratlon. The condition of these patients was poor and they were vulnerable to complication. 7) Type C was seen in cases younger than 1 year of age and in cases subjected to major operation. 8) Type D was seen in patients with poor condition and it suggests cardiac hypofunction.
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久保 雅子, 伊東 宏
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1980 年 16 巻 4 号 p.
601-609
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Postoperative cholangitis is continuously a serious problem for congenital biliary atresia to date. Repeating biliary infection may be a cause of subsequent liver cirrhosis and portal hypertention. There are several reasons for repeating ascending cholangitis. The purpose of this paper is to define the cellular immunity in patients with congenital biliary atresia from the histopathological point of view. The thymus, lymphnodes, spleen and adrenal glands of thirteen autopsy cases of congenital biliary atresia were reviewed in comparison with 10 cases of malignancy, 10 septicemia, 10 cardiac failure and 4 sudden death. The findings seen in patients with congenital biliary atresia are (1) atrophy of the thymus, (2) atrophy of the lymphnodes and bilirubin accumulation in the macrophages, (3) atrophy of the white pulp and marked congestion and fibroadenia of the red pulp of the spleen and (4) hyperplasia of the reticular layer of the adrenal cortex. These findings suggested a presence of some defects in the cellular immunity in patients with congenital biliary atresia with repeating cholangitis.
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天野 信一, 本泉 誠, 坂倉 究, 西城 英郎, 水谷 民衛
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1980 年 16 巻 4 号 p.
611-617
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A 4 years and a month old girl presenting with Wilms' tumor associated with congenital aniridia and mental retardation was reported. In Japan, 6 cases of the aniridia-Wilms' tumor syndrome have been reported before and this is the 7th reported case in the Japanese literatures. Etiological considerations regarding cancer-malformation syndrome, particularly an association of Wilms' tumor and aniridia, were discussed. A patient who has congenital aniridia should be followed as suggested by protocol for the initial evaluation and a schedule for the following examination.
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富沢 誠, 牧野 駿一, 橋都 浩平, 中條 俊夫
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1980 年 16 巻 4 号 p.
619-624
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There were two children with hernia of the foramen of Morgagni in 46 cases of the varieties congenital diaphragmatic hernias at the Department of Fediatric Surgery National Children's Hospital, Tokyo from 1965 to 1978. One was 4 month old girl and another was 1 month old boy. Preoperative diagnosic was correct. Pneumoperitoneum was especially useful for diagnosis. Surgery was performed trans abdominally. The content was liver in both cases. Postoperative course was uneventful.
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連 利博, 岡本 英三, 岡空 達夫, 西浦 徳明, 植木 重文, 大橋 秀一, 豊坂 昭弘, 関 保平
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1980 年 16 巻 4 号 p.
625-631
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Two patients with Ievocardia were encountered, presenting with bile-stained vomiting. One is a 3 year-old acyanotic boy and the other a 4 day-old cyanotic male neonate. Upright plain X-ray films of the chest and abdomen showed the heart to be situated in the left hemothorax, while the gastric bubble below the right diaphragm. As a double bubble sign was seen in both cases, these patients were explored for duodenal obstruction. The stomach and spleen were present in the right and the liver in the left side in both cases. Duodenal obstruction was due to malrotation with volvulus in one case and due to membranous stenosis with malrotation in the other. These patients were successfully operated on by release of volvulus with division of the Ladd's band and duodenoduodenostomy, respectively. The subsequent postoperative course was uneventful in both cases. Postoperative cineangiography of the heart revealed no intracardiac anomalies in one patient but a common ventricle with pulmonary atresia and a patent ductus arteriosus were seen in the other. This paper summarizes our experience of two cases of duodenal obstruction in situs inversus with levocardia and an analysis of associated anomalies of abdominal viscera from eighteen collected cases is discussed.
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柿原 美千秋, 勝見 正治, 岡村 貞夫, 殿田 重彦, 広田 耕二, 岡 統三, 尾野 光市, 久保 邦臣, クボ クニオミ
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1980 年 16 巻 4 号 p.
633-640
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In this paper, a case of gluteal region teratoma situated at the left hip as an unusual position and having a unique surface with the colonic mucosa is reported. A 8-days-old female was admitted to our department of surgery because of an apple-sized mass at the left hip. The tumor had no connection with the genitourinary and digestive organs by physical and X-ray examinations. The tumor was recognized extrapelvic and extirpated without a resection of the coccygeal born. The histopathological findings showed well differented teratoma with 3 germlayer components. The postoperative course was uneventful and she is good healthy 11 months after operation.
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重本 弘定, 磯本 徹, 堀谷 喜公, 山本 康久, 中西 由理, 佐野 開三, 伊藤 安彦, 片岡 直樹, 酒井 章文
原稿種別: 本文
1980 年 16 巻 4 号 p.
641-647
発行日: 1980/06/20
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Two cases of infants with heterotopic gastric mucosae in the ileum causing hematochezia were presented. Each of the infants showed a hot spot by preoperative 99m^Tc-pertechnetate scanning. Operations revealed that each of these cases had an extraluminal tumor on the antimesenteric side in the ileum, which consisted of only gastric mucosa of the fundal type with a small cavity and protruded into the ileal cavity. On microscopic examination of the serial sections, there were found a few communicating channels between the cavity in the tumor and gastric mucosa bulging into the ileum and ulcer causing hematochezia around the gastric mucosa in the ileum. These tumors are considered to be the "extraluminal type" of congenital gastric heterotopia. Since the lesions of both cases were in the vicinity of the omphalomesenteric remnant, it seems very likely that the vestige of the omphalomesenteric remnant might be responsible for the develoment of gastric heterotopia in the ileum.
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武田 佳秀, 伊藤 実, 鈴木 克昌, 岡田 英也, 由良 二郎
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1980 年 16 巻 4 号 p.
649-653
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The umbilical arterial catheterization is warranted by more accurate measurement of arterial blood gas, easier administration of fluid and easier nursing care. However, a variety of complications of umbilical arterial catheterization in the newborn have been reported before. This paper describes a 7 months male infant in whom an umbilical arterial catheter may have been a cause of development of an aortic aneurysm. It is suggested that the mechanical effect of the catheter gave a damage to the aortic wall associated with infection, which is considered as the cause of the aneurysm. The surgical treatment of aortic aneurysm in infancy is discussed.
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松山 四郎, 鈴木 則夫, 倉繁 徹昭, 中村 卓次, 渡部 岩吉
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1980 年 16 巻 4 号 p.
655-662
発行日: 1980/06/20
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A two-day-old female infants was admitted with a diagnosis of hemoperitoneum due to birth trauma. The source of bleeding was thought to be the ruptured liver by abdominal scout films and an emergency laparotomy was carried out. A massive hemorrhage from the ruptured right adrenal gland was found in the peritoneal cavity. The adrenal gland was located to the right of the displaced ascending colon. The right kindney embedded in the hematoma appeared to be normal. The left retroperitoneal space including the left kidney was also normal by palpation. Because of extreme friability of the adrenal tissue, attempts of ligation of the bleeding vessels failed and right adrenalectomy was carried out. Postoperative course of the infant was complicated with lung edema due to excessive blood transfusion, consumption coagulopathy, candidiasis cutis, and post-transfusion hepatitis. However, she was well without evidence of adrenal insufficiency or calcification in the left adrenal gland at four months of age. Cause of massive adrenal hemorrhage in newborn cannot be single and physiological involution and necrosis of the fetal cortex in this period must be a trigger of the hemorrhage. Signs and symptoms as well as recently advanced diagnostic methods, indications of surgery and principles of treatment of massive adrenal hemorrhage in the newborn were reviewed and points of remarks were discussed.
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大川 治夫, 高橋 英世, 真家 雅彦, 山根 友二郎, 山下 武広, 中川 武夫
原稿種別: 本文
1980 年 16 巻 4 号 p.
665-672
発行日: 1980/06/20
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There are a variety of disorders among tumors in the lunibosacral area in neonates. We discuss here on the problems of diagnosis and treatment of such tumors, by our experience with 84 cases at Chiba University in the past 12 years. Most of 38 open myelonienmgoceles were easily diagnosed. They were mostly operated within 24 hours after birth. There were 6 cases with very small neural plaque on the midline, which were not referred early and were not operated on as emergency cases. In these, more post-operative troubles were observed. There were 34 cases of closed myelomeningcele. They were subcutaneous abnormalities. Fifteen cases were with lipomeningmyelocele, four with small meningeal sac as the main lesion, 5 with abnormal skin tumor, 5 with cicatrical epithelium and 5 with dermal dimple. The lesion was located between L-4 and S-2 of the vertebral level. No hydrocephalus was observed in these cases. Neurogenic bladder was observed in only 4 cases with lipomyelomeningocele and a dermal dimple in one in the post-operative follow-up course. We usually operate on these patients during infancy, between one and 8 months of age, before any neurological disorders are found by physical examinations. We believe that this condition must be operated on before the irreversible mal-effcct of the tethered cord appears. There were 3 cases of sacral abscess. They were incised and drained successfully. All of them were caused by Staphylococcus aureus. Real etiology of this was not known. Eleven cases of sacrococcygeal teratoma were experienced during the same period. Some of them were very difficult in defferntiation from closed myelomeningocele. Sacrococcygeal teratoma must be operated on during the neonatal period for prevention of malignant transformation, while closed myelomeningocele need not be operated on so early. The points of differentiation are the vertebral level to be under S-3, anterior shift of the anus and compression defect of the posterior wall of the rectum demonstrated in barium enema, which are seen in sacrococcygeal teratoma. Also we discussed on the confused terminology of spina bifida. We prefer to use the "open" and "closed" meningomyelocele and mcningocele according to anatomical evaluations.
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岩井 直躬, 後藤 幸勝, 橋本 京三, 柳原 潤, 荻田 修平, 小島 洽, 貴田 誠, 西岡 文三, 河田 昌, 安川 林良
原稿種別: 本文
1980 年 16 巻 4 号 p.
673-676
発行日: 1980/06/20
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During the past 7 years, eight infants with volvulus of the stomach were encountered. Four of the patients were male and four female, and the patients' age ranged from 2 days to 6 months. Five were mesenterio-axial type and three organo-axial type. Six patients were acute in symptoms and two chronic. Six patients were successfully treated by conservative management, but a surgical intervention was required in other two patients. Surgery should not be delayed by time-consuming efforts in conservative management. Surgical indication is a failure to respond the conservative management, an associated abnormality of the diaphragma or absence of gass passage from the stomach to the intestine in abdominal plain film.
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長屋 昌宏, 伊藤 喬広, 杉藤 徹志, 新実 紀二, 山田 昂, 石黒 士雄, 古川 博通, 奥川 恭一朗, 鈴木 裕, 堀沢 稔, 津田 ...
原稿種別: 本文
1980 年 16 巻 4 号 p.
677-686
発行日: 1980/06/20
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Thirty four cases with omphalocele and 20 cases with gastroschisis experienced at our hospitals during the period from 1970 to 1979 were reviewed. Overall mortality of omphalocele was 44.1% and there was no chronological improvement in the Survival rate. On the other hand, mortality of gastroschisis has significantly decreased recently. The mortality rate was 14.3% (one death in 7 cases) during last 3 years, while it was 53.8% (7 deaths per 13 cases) before 1976. Factors are contributing to the decrease of mortality in gastroschisis, (1) progress in general management of prematurity, (2) nutritional support using intravenous hyperalimentation and (3) respiratory care by mechanical ventilation in the first 24-48 hrs after operation. Twentry four cases (73.6%) of omphalocele were associated with other congenital anomalies, five of which were directly responsible for death. Abnormaly narrow thorax which was associated with respiratory distress were observed in 6 cases with giant omphalocele. Three of them died in a few days after admission. It seems that mortality of omphalocele may not decrease to same level as that of gastroschisis because of high incidence of severe associated anomalies.
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橋本 真侍, 今中 一文, 津川 力, 木村 健, 松本 陽一, 西山 章次
原稿種別: 本文
1980 年 16 巻 4 号 p.
687-694
発行日: 1980/06/20
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The upper gastrointestinal x-ray series employed in 28 infants with malrotation of intestine was reviewed for its diagnostic value. In all patients, the upper GI scries was with significant diagnostic findings as 1) duodenal obstruction and 2) spiral or cork-screw appearance. Plain x-ray films of the abdomen were of no diagnostic value for this disease. Important points in the findings of the upper GI series in malrotation of intestine are presented and discussed.
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秦 温信, 松下 通明, 久木田 和丘, 内野 純一, 葛西 洋一, 手戸 一郎
原稿種別: 本文
1980 年 16 巻 4 号 p.
695-700
発行日: 1980/06/20
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Eighteen children with primary hepatic cancer experienced at our Department during past 20 years were reviewed and discussed for the problems and changing results by an imporvement of therapeutic measures. It was found that early diagnosis and extensive hepatic resection are the most important factors to improve that result of treatment. The histological and clinical findings of the tumor provides an important influence on the prognosis of the patients. When the tumor is too large to carry out primary resection, an secondary procedure for resection should be attempted, when the tumor becomes smaller after adequate chemotherapy.
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鈴木 宏志
原稿種別: 本文
1980 年 16 巻 4 号 p.
701-
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難波 貞夫
原稿種別: 本文
1980 年 16 巻 4 号 p.
701-
発行日: 1980/06/20
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石原 通臣
原稿種別: 本文
1980 年 16 巻 4 号 p.
701-
発行日: 1980/06/20
公開日: 2017/01/01
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真家 雅彦
原稿種別: 本文
1980 年 16 巻 4 号 p.
701-
発行日: 1980/06/20
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山本 真史
原稿種別: 本文
1980 年 16 巻 4 号 p.
701-
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白岩 邦俊
原稿種別: 本文
1980 年 16 巻 4 号 p.
701-
発行日: 1980/06/20
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大橋 秀一
原稿種別: 本文
1980 年 16 巻 4 号 p.
701-702
発行日: 1980/06/20
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長崎 彰
原稿種別: 本文
1980 年 16 巻 4 号 p.
702-
発行日: 1980/06/20
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森川 康英
原稿種別: 本文
1980 年 16 巻 4 号 p.
702-
発行日: 1980/06/20
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大橋 秀一
原稿種別: 本文
1980 年 16 巻 4 号 p.
702-
発行日: 1980/06/20
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鈴木 宏志
原稿種別: 本文
1980 年 16 巻 4 号 p.
702-
発行日: 1980/06/20
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長崎 彰
原稿種別: 本文
1980 年 16 巻 4 号 p.
703-
発行日: 1980/06/20
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飯野 正敏
原稿種別: 本文
1980 年 16 巻 4 号 p.
703-
発行日: 1980/06/20
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大橋 秀一
原稿種別: 本文
1980 年 16 巻 4 号 p.
703-704
発行日: 1980/06/20
公開日: 2017/01/01
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森川 康英
原稿種別: 本文
1980 年 16 巻 4 号 p.
704-
発行日: 1980/06/20
公開日: 2017/01/01
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大橋 秀一
原稿種別: 本文
1980 年 16 巻 4 号 p.
704-
発行日: 1980/06/20
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難波 貞夫
原稿種別: 本文
1980 年 16 巻 4 号 p.
704-
発行日: 1980/06/20
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宮下 義聰
原稿種別: 本文
1980 年 16 巻 4 号 p.
704-
発行日: 1980/06/20
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長崎 彰
原稿種別: 本文
1980 年 16 巻 4 号 p.
704-
発行日: 1980/06/20
公開日: 2017/01/01
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原稿種別: 付録等
1980 年 16 巻 4 号 p.
705-
発行日: 1980/06/20
公開日: 2017/01/01
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原稿種別: 表紙
1980 年 16 巻 4 号 p.
Cover3-
発行日: 1980/06/20
公開日: 2017/01/01
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